Purchase INF ELITE X PLUS Plan

1 Travel Details
2 Plan Details
3 Traveler Details
4 Review
5 Payment

TRAVEL DETAILS

Coverage Start Date *

(Begins at 12:00 AM EST)

Coverage End Date *

(Ends at 11:59 PM EST)

Date of arrival *

(The date when the traveler arrives or arrived in the Destination country)

You are not eligible to purchase this policy if you have already arrived at your destination at the time of purchase

Destination Country *

Residence / Home Country *

Citizenship Country *

Primary Applicant date of birth *

Please use the date of birth that appears in your travel documents, for e.g passport. A request to correct date of birth after the policy is purchased may result in changes to policy premium and benefits.

Spouse Coverage Needed

Child Coverage Needed

Child coverage is not applicable for this plan

Email Address *

PLAN DETAILS

This quote is for from - - - inclusive of start and end dates.

Policy maximum

Deductible

Primary Traveller (Age -)

Total Policy Cost

-

TRAVELER DETAILS

All fields are required fields unless stated as optional

Insured Person Information

Primary traveller

First Name *

Last name *

Enter First, Last Names as shown in the passport or a government issued ID

Date of birth * -

Gender *

Citizenship *

Passport *

Not available for Citizens of: Cuba, Iran, Islamic Republic of, Korea, Democratic People's Republic of, Korea, Republic of, Russian Federation & Syrian Arab Republic.

Spouse traveller

First Name *

Last name *

Enter First, Last Names as shown in the passport or a government issued ID

Date of birth * -

Gender *

Citizenship *

Passport *

Not available for Citizens of: Cuba, Iran, Islamic Republic of, Korea, Democratic People's Republic of, Korea, Republic of, Russian Federation & Syrian Arab Republic.

Mailing Address Information

Please enter Any Residential or business address

Use primary applicant information

First Name *

Last name *

Enter First, Last Names as shown in the passport or a government issued ID

Address 1 *

Address 2 (Optional)

Country *

State *

City *

Zip/Postal Code *

Mobile number *

Beneficiary

Name the person who will receive the benefits in the event of insured person's accidental Death. Usually this name should be other than the travelers themselves. For example if you are buying this policy for your parents, you can put your name as beneficiary.

Beneficiary Name *

Relationship *

Travel details

Coverage Start date

Coverage End date

Coverage Duration

Date Of Arrival

Destination Country

Citizenship Country

Home Country

Spouse Coverage

Child Coverage

Plan details

Policy Maximum

Deductible amount

Quote Price

Traveler Details

Primary traveller

Full Name

Gender

Date of birth

Citizenship

Passport

Quote

Spouse traveller

Full Name

Gender

Date of birth

Citizenship

Passport

Quote

Mailing Details

Name

Mobile number

Address

Beneficiary

Beneficiary Name

Relationship

PAYMENT

Total Amount

Secure Payment details

Please provide card and billing address of the card holder

Card Type *

SecurityMetrics PCI validation certification

Name on card *

Enter full name exactly as shown on card

Card number *

Expiration month *

Expiration year *

Security Code / CVV *

The digits displayed on back of your credit card.

Billing address

Use Primary Applicant Information

First Name *

Last name *

Enter First, Last Names as shown in the passport or a government issued ID

Address 1 *

Address 2 (Optional)

Country *

Due to plan's restriction, billing address is available only for the United States of America

State *

City *

Zip/Postal Code *

Mobile number *

By checking this box, I declare that I have read and I agree to the Terms and Conditions set forth by INF.

I confirm that no one covered under this policy is currently seeking or scheduled for emergency medical treatment during the period of coverage, and that this plan is being purchased for unforeseen medical emergencies.

By checking this box, I declare that I have read and I agree to the Terms and Conditions and Privacy Policy of Onshorekare.

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InsurTech from Silicon Valley, California

Travel Summary

Start date

End date

Coverage Length

Number of travelers

Policy Maximum

Deductible

Cost Summary

Primary (Age -)

Total Price

InsurTech from Silicon Valley, California

Policy Name:	-
Coverage Start:
Coverage End:
Transaction Amount:	$ USD
Purchased Date:

INF ELITE X PLUS

TRAVEL DETAILS

PLAN DETAILS

Total Policy Cost

-

TRAVELER DETAILS

Insured Person Information

Primary traveller

Spouse traveller

Child traveller

Mailing Address Information

Beneficiary

Travel details

Plan details

Traveler Details

Primary traveller

Spouse traveller

Child Traveller

Mailing Details

Beneficiary

PAYMENT

Secure Payment details

Billing address

Travel Summary

Cost Summary

Total Price

INF ELITE X PLUS

Thank you for your purchase!

INF ELITE X PLUS

TRAVEL DETAILS

PLAN DETAILS

Total Policy Cost

-

TRAVELER DETAILS

Insured Person Information

Primary traveller

Spouse traveller

Child traveller

Mailing Address Information

Beneficiary

Travel details

Plan details

Traveler Details

Primary traveller

Spouse traveller

Child Traveller

Mailing Details

Beneficiary

PAYMENT

Secure Payment details

Billing address

Travel Summary

Cost Summary

Total Price

Plan Information

INF ELITE X PLUS

Location Restrictions

Thank you for your purchase!